Astanga Hrudaya

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इत्यौषधैरप्रशमे त्रिषु बद्धोदरादिषु । प्रयुञ्जीत भिषक् शस्त्रमार्तबन्धुनृपार्थितः ॥ १०७ ॥

If the three kinds of Udara, enumerated commencing with Baddhodara, (Baddhodara, chidrodara and Udkodrara) do not subside with the above medicines (medical treatment) then the physician should resort to surgical treatment after obtaining permission from the patient, his relatives and the king or administrative officer.

english translation

ityauSadhairaprazame triSu baddhodarAdiSu । prayuJjIta bhiSak zastramArtabandhunRpArthitaH ॥ 107 ॥

hk transliteration by Sanscript